How long post op do you wait before turning your open heart patients (CABG, on and off pump, Valves, etc)? I am talking before you turn them to wash their back, change their sheets, etc?
No turn order for 4 hours post op.
We turn OHS patients typically within the first hour to move leads around to front, get the OR draw sheet out from underneath them (and invariably some caps and other odds and ends), and a quick wipe-down. We don't typically delay this if they are hemodynamically unstable, since it's position changes that help to alleviate the vasoplegia that often contributes to BP instability post-OHS.
Usually within the first 15 minutes of admission from the CVOR. Get them on the CVICU monitor, CXR, draw ABG, initial labs and then roll them aggressively. Check for chest tube output, get the dirty CVOR sheet out and see what their vital signs do.
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